DR. WAYNE J EHRISMAN


Address: 402 Mary Louise Dr, San Antonio, TX 78201-4433
Phone: 2107337669

DR. WAYNE J EHRISMAN (NPI# 1194867622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194867622
Entity Type Individual
Full Name DR. WAYNE J EHRISMAN
Credential PHD
Practice Address 402 Mary Louise Dr
San Antonio
TX 78201-4433
Practice Telephone 2107337669
Practice Fax Number 2107337669
Enumeration Date 2007-02-12
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
21061 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS CC95 01

Office Location

Street Address 402 MARY LOUISE DR
City SAN ANTONIO
State TX
Zip Code 78201-4433

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194323097 Ashleigh Elizabeth Fellows Psychologist 11750 Mission Trace St, San Antonio, TX 78230-2120 2020-10-13
1063990976 Diane Laverne Coalson Psychologist 16803 Turkey Point St, San Antonio, TX 78232-1828 2018-08-02
1396251757 Dr. Jacob Pickard Phd, Clinical Psychologist, PC Psychologist 1854 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1557 2017-12-21
1730698903 Stefanie Anne Gray Psychologist 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 2017-09-20
1801317334 Alliance Psychology Specialists, Pllc Psychologist 7201 Broadway St Ste 218, San Antonio, TX 78209-3773 2017-07-06
1508317116 John Martin Velasquez Psychologist 4030 Tallulah Dr, San Antonio, TX 78218-3448 2016-10-18
1275980740 Richard John Rini Psychologist 4607 Midnight Woods St, San Antonio, TX 78249-1817 2016-05-15
1821451402 Trudi Zaplac, J.d., Ph.d., Pllc Psychologist 7715 Wexford Sq, San Antonio, TX 78240-3923 2016-04-01
1174981542 Needhi Bhaga Psychologist 531 Stonewood St, San Antonio, TX 78216-7920 2016-02-01
1457717613 Tim Peterson Psychologist 4940 Broadway St, Suite 139, San Antonio, TX 78209-5747 2016-01-04
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Competitor

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City SAN ANTONIO
Zip Code 78201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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